Conventional glycaemic control may not be beneficial in diabetic patients following cardiac surgery

Nicholas Bayfield

Research output: ThesisMaster's Thesis

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The optimal management of stress hyperglycaemia following cardiac surgery may differ between diabetic and non-diabetic patients. This study retrospectively assessed the relationship between maximal postoperative in-hospital blood glucose levels(BSL) and the morbidity and mortality outcomes in non-diabetic (n=1050) and diabetic (n=689) cardiac surgery patients at a single institution. In non-diabetics, hyperglycaemia with peak BSL above 1 0.0mmol/L was associated with morbidity. In diabetic patients, hyperglycaemia with peak BSL below 14.0mmol/L was not associated with an increased risk of morbidity or mortality compared to non-diabetics with peak BSL below 10.1 mmol/L. Further investigation of flexible glycaemic targets in diabetic patients is warranted.
Original languageEnglish
Awarding Institution
  • The University of Western Australia
  • Briffa, Tom, Supervisor
  • Larbalastier, Robert, Supervisor, External person
Thesis sponsors
Award date9 Mar 2023
Publication statusUnpublished - 2023

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